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Transforming Integrated Care in the Community (TICC) has secured more than €4.8 million of European funding in this €8 million cross-border partnership involving 14 organisations from the UK, France, the Netherlands and Belgium (see below for partner details). The project was approved and funded by the EU Interreg 2 Seas Programme 2014-2020 (co-funded by the European Regional Development Fund) which has supported the project over four years.
TICC will create systemic change in health & social care, providing services better suited to our ageing population by addressing holistic needs. It will present a methodology to overcome blocking points in transferring socially innovative service models from one area to another. This will be tested via the implementation of the Buurtzorg integrated care at home model which consists of self-managing teams of 12 staff working at neighbourhood level handling every aspect of care & business. This model significantly reduces the back office, simplifies IT & coaches rather than manages, providing better outcomes for people, lower costs, fewer unplanned hospital admissions & consistency of care. TICC will enable other health/social care organisations to implement new ideas; increase staff productivity, recruitment and retention as well as improving patient satisfaction & decreasing costs, emergency admissions and staff absences. It aims to postpone the moment when residential or end of life care is needed.
The Delegation for Clinical Research and Innovation (DRCI) of the GHICL is involved in the evaluation of the pilot sites proposed in the TICC project. In partnership with the HZ University of Applied Science in the Netherlands, an evaluation protocol has been built in order to study the impact of this new model on patients, their caregivers, but also on the employees involved. However, the recent context of global health crisis has impacted and slowed down the activities of this project. During the outbreak in the 2 Seas area, many of the partner organizations have witnessed the challenges faced by their health system, and in order to ensure everyone’s safety, some of the TICC activities had to be put on hold.
Hopefully, for the evaluation partners, the face to face contact is not always necessary to go forward, and some of the activities related to the evaluation could continue during the lockdown thanks to the teleworking. For instance, at this difficult time, the request of an authorization to French authorities in order to be able to access and consult social security databases such as Système National Des Données De Santé (SNDS), L'Agence technique de l'information sur l'hospitalisation (ATIH), RésiEhPAD) was carried on. This is a very important step that will allow to establish a control group and get robust insight of the results obtained by the TICC French teams in the field.
On the other hand, because recruitments for the evaluation were stopped by some of the teams in the field, the data gathering was slowed down. To facilitate the data gathering the evaluation team came up with a shorter version of the research protocol and now recruitment has begun to back to a near-optimal rhythm.
Exchanges with all the partners within the 2sea area were also possible due to online tools.
TICC partners are committed to successfully carry out the project and overcome the challenges related to the crisis. In that respect, it was also decided collectively, and authorized by the Interreg officials, to extend the TICC project at least for 6 month bringing to the end of the project at the end of 2021.
The 2Seas area faces clinical, social & financial challenges in health and social care as the population ages & public funding decreases. Recruitment & retention of the health and social care workforce in the 2Seas area is challenging & the situation will further deteriorate as the existing workforce ages. This has an impact on quality as perceived by patients. A number of initiatives have been highlighted as innovative but rarely get transferred from one country to another. The causes of these blockages need to be identified & a method developed for overcoming the barriers to transferability. The systems that have developed in the 2Seas region over the last 20 years have led to the fragmentation of care & a task driven, activity-based approach & remuneration.
TICC will enable countries in the 2Seas area (& later, beyond) to implement successful health & social care innovations quickly in a cost effective, sustainable way.
The Health and Europe Centre is the Lead Partner, working with:
Buurtzorg Concepts (NL)
Kent County Council (UK)
Kent Community Health NHS Foundation Trust (UK)
Medway Community Healthcare (UK)
Soignons Humain (FR)
Public World (UK)
Zorgbedrijf Antwerpen (BE)
Emmaus Elderly Care (BE)
VIVAT homecare (FR)
Lille Catholic Hospital (FR)
HZ University (NL)
La Vie Active (FR)
There are also many observer partners: Université d’Artois; East of England Local Government Association; Provincie Antwerpen; Wit-Gele Kruis van Antwerpen; Familiehulp ; Landelijke Thuiszorg Zuiderkempen; Christelijke Mutualiteit; Heist-op-den-Berg; OCMW Heist-op-den-Berg; Vlaams minister van Welzijn, Volksgezondheid en Gezin; Sociaal Huis Mechelen; Zorgnet-Icuro; NHS (England); Canterbury Christ Church University; Centre communal d’action sociale de Lomme; Conseil départemental du Nord.